This past Thursday, a 62 year old African American patient walked into the clinic for a routine eye exam. He had no ocular/visual complaints and just wanted an update on his glasses. As I was examining the patient, everything went totally fine; his anterior segment looked totally normal with slit lamp, intraocular pressures normal, and the posterior pole was flawless. Then, during BIO, I was scanning away and next thing you know, I find this whitish tissue that was flapping in the temporal area of the patient's right eye!

Read more »

Sorry it's been a while with updating the blog - as I mentioned in a previous entry I am getting married to my girlfriend of over seven years this coming June and we've been busy with wedding stuff, on top of many other family things. So anyway, this past Thursday I saw a very interesting case that I couldn't quite figure out right away. A 56 year old African American male came in for a routine eye exam with no visual or ocular complaints. During the exam, I refracted the patient and was able to get him to see 20/25, no improvement on pinhole. By the way, if a patient improves in acuity when you place a pinhole in front of their eye, that means that there's a potential error in the refraction. But if there is no improvement, then that means the patient has something that is physically impeding their vision e.g. a cataract, damage to the macula, or a central corneal opacity to name a few. So during the dilated fundus exam, I saw something very similar to this below:


Source

Read more »